Individual
ANNE N WABUNYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-5683
Mailing address
1600 SW ARCHER RD, BOX 100108, GAINESVILLE, FL 32610-0108
(352) 273-5683
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9479031
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN9479031
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100362900
—
FL
Enumeration date
06/28/2018
Last updated
06/05/2019
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